Individual
DEBORAH E CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
Mailing address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4300
(401) 793-4312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01121
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW01121
LICENSE
RI
Enumeration date
09/17/2009
Last updated
09/07/2016
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